Nur 212 exam 1(Hondros): Questions &
Answers
What should be done when there is an obstruction in a chest tube and why?(Ans- Milk the tube, never strip due to pressure changes
When is it normal to find bleeding in a chest tube?(Ans- Only with a hemothorax
Is tidaling normal with a chest tube?(Ans- Yes, on respirations
What does it mean when there is no longer tidaling with a chest tube?(Ans- That the tube is ready to be taken out
Is constant bubbling with a chest tube good or bad?(Ans- Bad
Is crepidous supposed to be at the chest tube site?(Ans- No, but usually resolves back into the body
What is crepidous?(Ans- Air bubbles in the subcutaneous tissue surrounding chest tube site
How should a chest tube be observed for any issues?(Ans- From the patient to the machine
What is the first thing the nurse should do if she suspects any issues with a patients chest tube?(Ans- Make sure the chest tube connections are secure
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What are the steps to a self breast exam?(Ans-
Step 1: Lie down and place left arm behind head (lying down spreads
breast tissue evenly)
Step 2: Use finger pads of 3 middle fingers on your right hand to feel for
lumps in the left breast. Use overlapping dime-sized circular motions to feel breast tissue. Light, medium, and firm pressure to feel each layers. (A firm ridge on the curve of each breast is normal)
Step 3: Move around breast in a vertical pattern at an imaginary straight
line down your side from the underarm.Respect for right breast.
Step 4: Stand in front of mirror and tighten pectoral muscles for any
redness, lumps, shapes, or scaliness near nipples.
Step 5: Examine each underarm for and knot, or thickening tissue
What prevents lymphedema?(Ans- Exercise, healthy diet (health maintenance)
Treatment for lymphedema?(Ans- Healthy diet, exercise, compression stockings, good skin/nail care, decongestive therapy, elevate extremity, isometric exercises
What are neutropenic precautions?(Ans- Avoid fresh fruits/veggies, no fresh flowers, good hand hygiene (infection prevention)
Signs and symptoms of thrombocytopenia?(Ans- Most patients are asymptomatic, but s\s include bleeding (mucosal or cutaneous), bruising, petechiae, purpura, and s\s of hemorrhaging.
Adverse affects of chemo/radiation?(Ans- Nausea, vomiting, anorexia, diarrhea, skin breakdown, reproductive dysfunction, nephrotoxicity, neuropathy, anemia
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